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Individual
DR. DORWIN TILLMAN MOORE
Active
Individual
DR. DORWIN TILLMAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
15840
SC
207V00000X
Obstetrics & Gynecology Physician
MD19789
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3380640
MEDICARE GROUP
TN
01
—
7389
MEDICARE GROUP PTAN
SC
Enumeration date
03/30/2006
Last updated
01/26/2021
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